Uveal melanoma physical examination: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 5: Line 5:


==Overview==
==Overview==
Patients with uveal melanoma usually appear normal. Physical examination of patients with uveal melanoma is usually remarkable for ophthalmologic findings of melanoma.
Patients with uveal melanoma usually appear normal. Physical examination of [[Patient|patients]] with uveal melanoma is usually remarkable for [[Ophthalmology|ophthalmologic]] findings of melanoma.


==Physical Examination==
==Physical Examination==
===Appearance of the Patient===
===Appearance of the Patient===
*Patients with uveal melanoma usually appear normal.  
*[[Patients]] with uveal melanoma usually appear normal.


===Vital Signs===
===Vital Signs===
* Patients with uveal melanoma usually present with normal vital signs.
*[[Patients]] with uveal melanoma usually present with normal [[vital signs]].


===Skin===
===Skin===
* Skin examination of patients with uveal melanoma is usually normal.<ref name="AlbertSearl1983">{{cite journal|last1=Albert|first1=Daniel M.|last2=Searl|first2=Steven S.|last3=Forget|first3=Bernadette|last4=Lavin|first4=Philip T.|last5=Kirkwood|first5=John|last6=Nordlund|first6=James J.|title=Uveal Findings in Patients with Cutaneous Melanoma|journal=American Journal of Ophthalmology|volume=95|issue=4|year=1983|pages=474–479|issn=00029394|doi=10.1016/0002-9394(83)90267-2}}</ref>
*[[Skin]] examination of [[patients]] with uveal melanoma is usually normal.<ref name="AlbertSearl1983">{{cite journal|last1=Albert|first1=Daniel M.|last2=Searl|first2=Steven S.|last3=Forget|first3=Bernadette|last4=Lavin|first4=Philip T.|last5=Kirkwood|first5=John|last6=Nordlund|first6=James J.|title=Uveal Findings in Patients with Cutaneous Melanoma|journal=American Journal of Ophthalmology|volume=95|issue=4|year=1983|pages=474–479|issn=00029394|doi=10.1016/0002-9394(83)90267-2}}</ref>


*Skin nevus or melanoma  
*[[Skin]] [[nevus]] or melanoma


===HEENT===
===HEENT===


* Evidence of trauma
* Evidence of [[trauma]]
*Pupils reactive to light / reactive to accommodation  
*[[Pupils]] reactive to light / reactive to accommodation
*Ophthalmoscopic exam may be abnormal with findings of :
*Ophthalmoscopic exam may be abnormal with findings of :
**Iris melanoma:  
**[[Iris]] [[melanoma]]:  
***Circumscribed nodule mostly in the inferior half of the iris  
***Circumscribed nodule mostly in the inferior half of the [[iris]]
***Different in size
***Different in size
***Yellow or brown in color
***Yellow or brown in color
***It may be diffuse  
***It may be diffuse
**Chroidal melanoma:  
**Chroidal [[melanoma]]:  
***Nodular mass under the retinal pigment
***Nodular [[mass]] under the [[Retinal pigment epithelium|retinal pigment]]
***It can be diffuse with less elevation
***It can be diffuse with less elevation
***We may see abnormal vascularization
***We may see abnormal vascularization
**Ciliary body melanoma:
**[[Ciliary body]] melanoma:
***Sentinel vessel
***Sentinel vessel
***Unilateral low intraocular pressure
***Unilateral low [[intraocular pressure]]


===Neck===
===Neck===
* Neck examination of patients with uveal melanoma is usually normal.
*[[Neck]] examination of [[patients]] with uveal melanoma is usually normal.


===Lungs===
===Lungs===
* Pulmonary examination of patients with uveal melanoma is usually normal.
*[[Pulmonary]] examination of patients with uveal melanoma is usually normal.


===Heart===
===Heart===
* Cardiovascular examination of patients with uveal melanoma is usually normal.
*[[Cardiovascular]] examination of patients with uveal melanoma is usually normal.


===Abdomen===
===Abdomen===
* Abdominal examination of patients with uveal melanoma is usually normal.
*[[Abdominal]] examination of patients with uveal melanoma is usually normal.


===Back===
===Back===
Line 53: Line 53:


===Genitourinary===
===Genitourinary===
* Genitourinary examination of patients with uveal melanoma is usually normal.
*[[Genitourinary]] examination of patients with uveal melanoma is usually normal.


===Neuromuscular===
===Neuromuscular===
* Neuromuscular examination of patients with uveal melanoma is usually normal.
*[[Neuromuscular]] examination of patients with uveal melanoma is usually normal.


===Extremities===
===Extremities===
* Extremities examination of patients with uveal melanoma is usually normal.
*[[Extremities]] examination of patients with uveal melanoma is usually normal.


==References==
==References==

Revision as of 15:39, 13 August 2019

Uveal melanoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Uveal melanoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

Echocardiography and Ultrasound

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Uveal melanoma physical examination On the Web

Most recent articles

cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Uveal melanoma physical examination

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Uveal melanoma physical examination

CDC on Uveal melanoma physical examination

Uveal melanoma physical examination in the news

Blogs on Uveal melanoma physical examination

to Hospitals Treating Uveal melanoma

Risk calculators and risk factors for Uveal melanoma physical examination

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Patients with uveal melanoma usually appear normal. Physical examination of patients with uveal melanoma is usually remarkable for ophthalmologic findings of melanoma.

Physical Examination

Appearance of the Patient

  • Patients with uveal melanoma usually appear normal.

Vital Signs

Skin

HEENT

  • Evidence of trauma
  • Pupils reactive to light / reactive to accommodation
  • Ophthalmoscopic exam may be abnormal with findings of :

Neck

  • Neck examination of patients with uveal melanoma is usually normal.

Lungs

  • Pulmonary examination of patients with uveal melanoma is usually normal.

Heart

  • Cardiovascular examination of patients with uveal melanoma is usually normal.

Abdomen

  • Abdominal examination of patients with uveal melanoma is usually normal.

Back

  • Back examination of patients with uveal melanoma is usually normal.

Genitourinary

  • Genitourinary examination of patients with uveal melanoma is usually normal.

Neuromuscular

  • Neuromuscular examination of patients with uveal melanoma is usually normal.

Extremities

  • Extremities examination of patients with uveal melanoma is usually normal.

References

  1. Albert, Daniel M.; Searl, Steven S.; Forget, Bernadette; Lavin, Philip T.; Kirkwood, John; Nordlund, James J. (1983). "Uveal Findings in Patients with Cutaneous Melanoma". American Journal of Ophthalmology. 95 (4): 474–479. doi:10.1016/0002-9394(83)90267-2. ISSN 0002-9394.

Template:WH Template:WS